On-site supervision · Virtual-ready
Site Hours of Supervision
Physicians & Radiologists
Median Response Time
Missed Reactions
Build a contrast program now, ready when the rule changes.
Washington facilities that stand up an on-site contrast program today and a virtual one later will pay for the transition twice. Pending legislation would authorize virtual direct supervision while still requiring trained clinical staff at the facility, which is exactly the staffing Tether already places. Build with us now and the switch is a configuration change, not a new project. Your contrast schedule stays full the entire time.
What changes when coverage is never the question
Stop canceling for want of coverage
Coverage priced to your volume, not a salary
Technologists who walk in ready
Audit-ready without the paperwork
Virtual-ready the day your state moves
From first call to first supervised scan
Step one — the twenty-minute call
We scope your sites, modalities, operating hours, and current coverage. You get a straight answer on what your program looks like and what it costs, usually before we hang up.
Step two — we prepare your center
Hardware deployment, physician credentialing and state licensure, technologist training, reaction kit placement, and your supervision documentation. Setup is our job, not yours.
Step three — ready when you need it
A credentialed clinician is scheduled at your imaging center to meet your state’s on-site supervision requirements. Your team gets dependable coverage, documented workflows, and the same Tether clinical support behind every shift.
Serving imaging centers across Washington
Seattle
Spokane
Tacoma
Vancouver
Bellevue
Kent
Everett
Renton
Yakima
Bellingham
the Puget Sound corridor, the Inland Northwest, the Tri-Cities and Yakima Valley, the Olympic Peninsula, and northeastern Washington
Where Washington stands today
HB 2113 has now passed the Washington Legislature, was signed into law, and took effect on June 11, 2026. The law authorizes diagnostic radiologic technologists, therapeutic radiologic technologists, and MRI technologists to administer intravenous contrast under a physician’s virtual direct supervision using real-time interactive audio and video technology; audio-only supervision does not qualify. It also requires appropriately trained clinical staff to remain physically present at the facility and available to respond to adverse events. Tether is monitoring the Washington Department of Health for corresponding regulatory and guidance updates and already supports the required on-site clinical presence.
Nearby states
Important note
This page is provided for general informational purposes and does not constitute legal advice. Supervision requirements vary by facility type, license category, modality, and payer and accreditation requirements, and they change over time. Facilities should confirm applicable requirements with their own counsel.
Can we use virtual contrast supervision in Washington?
How fast does a Tether physician actually respond?
Do we need clinical staff on site in Washington?
How quickly can we go live in Washington?
Do you cover imaging centers outside Seattle?
What do we get besides the supervision itself?
Twenty minutes to a contrast program that holds
Book a twenty-minute call. We will scope your sites and operating hours and tell you exactly what your program looks like, what it costs, and how fast you can be live. Most facilities are running within weeks. Call +1 (832) 974-0401 or email info@tethersupervision.com.